Individual
EZRA TYSON HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2351 S RIVER RD STE 5, ST GEORGE, UT 84790-8749
(435) 709-8786
Mailing address
2351 S RIVER RD STE 5, ST GEORGE, UT 84790-8749
(435) 709-8786
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
7341282-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7341282-4405
UT
Other
Enumeration date
03/20/2023
Last updated
10/01/2024
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